US 2684676 A
Description (OCR text may contain errors)
July 27, 1954 PERRY 2,684,676
STOMA RECEIVER, INCLUDING SEALING MEANS FOR USE WITH ILEOSTOMIES Filed Sept. 10, 1951 u. I @1 3 w 4rram Ers Patented July 27, 1954 OFFICE STOMA RECEIVER, INCLUDING SEALING MEANS FOR USE WITH ILEOSTOMIES Murle Perry, Minneapolis, Minn.
Application September 10, 1951, Serial No. 245,823
' 6 Claims. 1
This invention relates generally to a simplified stoma receiver assembly particularly adapted for use with an ileostomy.
Ileostomies being openings in the upper intestine, produce a highly liquid discharge which is difficult to efficiently seal to prevent leakage particularly when the patient is in a prone position, as when sleeping.
It is an object of my present invention to provide a relatively simple, yet highly efficient stoma receiver particularly adapted for use with an ileostomy and particularly adapted to form a relatively tight seal around the stoma to prevent leakage. I
It is another object to present a stoma receiver having an extremely simply and easily assembled structure for effectively mounting a soft and highly pliable bag such as a plastic bag made from thin plastic sheet material and adapted to securely hold the mouth'of said bag in substantially predetermined relation around the stoma without dangerof slippage or inadvertent displacement thereof.
More specifically, it is an object to provide an appliance assembly having a highly flexible, at least semi-disposable bag with an opening in the upper side portion thereof and having an attachment and mounting flap underlying a portion thereof surrounding said opening and having an annular mounting ring adapted to be interposed between the flap and the upper portion of said bag opposed to said flap and provided with means for preventing irritation to the protruding stoma andadapted to be inserted through the opening in the bag and securely, held in position by the annular mounting or attachment ring.
Still more specifically, it is an object toprovide a stoma receiver of the class described in which a generally annular insert member is pro vided with a mounting flange on the inside thereof and having a peripheral groove formed in the outer portion'thereof to receive the portion of the highly pliable, slightly resilient material from which the bag and attachment flap are formed surrounding the openingtherein and adapted to extend outwardly through the opening in said annular mounting ring withthe diameter of said opening in said ring being slightly less than the diameter of said flange to hold said flange against the body of the wearer.
It is still a further object to provide a stoma receiver of the class described and having a highly resilient pliable tubular sealing member made as from latex rubber and adapted to be mounted over the flange of said insert member and extend outwardly in stoma surrounding position to be sealed against said stoma by fluid pressure when fluid surrounds the same as when the wearer is in prone position to prevent seepage back around said stoma.
It is still another object to provide a stoma receiver of the class described in which the attachment flap may be securely sealed directly to the body of the wearer in stoma surrounding position to seal said flap directly to the body and to positively prevent any seepage therearound, the bag and flap being held against shifting movement by the annular attachment ring previously described.
These and other objects and advantages of my invention will more fully appear from the following description made in connection with the accompanying drawings wherein like reference characters refer to the same 'or similar parts throughout the, several views and in which;
Fig. 1 is a perspective view of my new appliance in operative position;
Fig.2 is a transverse vertical sectional View of one form of my invention;
Fig. 3 is a transverse vertical sectional view of another form thereof;
Fig. 4 is a vertical sectional View in perspective of the mounting and retaining ring;
Fig. 5 is a vertical sectional view in perspective of the adhesive member.
Fig. 6 is a vertical sectional view in perspective of the insert member;
Fig. 7 is a perspective view of the tubular stoma surrounding and sealing highly resilient member;
Fig. 8 is a fragmentary front elevational view showing the upper portion of the stoma receiv-- ing bag and particularly illustrating the sealed portion.
As illustrated in Figs. 2, 3 and 8, I-provide a bag it made from any suitable, inexpensive, highly flexible waterproof material such as polyethylene or vinyl plastic sheet material and having a closed upper end I 9a. An attachment or mounting flap l which, in the form shown, is made from similar material to that used in the bag I 0, has an intermediate portion such as the central portion thereof securely sealed to the upper side portion of the bag It. This seal may be formed by tightly pressing a heated disc against the inner surface of an intermediate portion of the attachment flap I I to press the two layers of the attachment flap tightlyagainst the inner surface of the inner layer of bag it and Weld all three layers together to form a positive seal therebetween. In the form shown, the attachment flap is of double thickness to provide additional reinforcement around an aperture of any desired size which may be cut through said three sealed thicknesses of the sheet material from which the bag and attachment flap are formed. Care must of course be taken to prevent sealing the front layer of bag ID to the rear layer thereof. The sealed portion between the attachment flap II and the rear layer of bag In is designated by the numeral l2 and completely surrounds the aperture designated by the numeral l3 through which the stoma is inserted.
An annular mounting or attachment ring it made from any suitable substantially rigid material such as transparent plastic material is provided and has an aperture formed in the central portion thereof of sufiicient size to embrace the outer diameter of the sealed portion l2, as best shown in Figs. 2 and 3, when the bag I8 has been completely inserted therethrough. This attachment disc I4 is provided for retaining the bag I!) and attachment flap 'II in predetermined relation and is provided with a' pair of diametrically opposed belt-receiving elongated slots l5 for receiving the belt attachment straps 16 therethrough, as best shown in Fig. 1. In'theform shown, two belts H and I8 are provided and attachment straps it connected therewith'permit relative shifting movement of the belts and the attachment ring 14. The ring [4- is convexly curved on the "inner. surface thereof to maintain the area of the "attachment' flap ll surrounding said sealed'portion ii in secure'engagement'with the skin of the wearer surrounding the stoma evenduring relatively active movement of the wearer.
I provide two means for protecting the stoma against irritation by the appliance. One of said means is illustrated in Fig. 2-and consists in an adhesive disc I9 having a stoma receiving aperture Illa centrally formed therein. This disc i9 has an adhesive surface on-both sides thereof and adheres on oneside to the skin of the wearer surrounding the stoma and on the other side to the inner surface of the attachment flap II, as best shown in Fig. 2. It will be seen that this double adhesive'member is securely holds the inner periphery of the sealed portion l2 in spaced relation to the stoma such as is indicated at 20 of Fig. 5
tion 2H). An outer bead Zlc forms a peripheral groove between the fiange 2 la'and said bead and is of only slightly'smaller diameter than the diameter of the aperture through the mounting ring'l l, the outside diameter of annular flange 21a being at least slightly larger than the diameter of the aperture through the mounting or retaining ring I4. It will be seen that the inner surface of the sleeve portion 2w is gradually rounded and smoothly contoured to prevent irritation to a stoma if directly contacted thereby.
FigLB also shows a stoma surrounding highly pliableand resilient-sleeve member adapted to be mounted at one end around said flange 2 la and to extendoutwardly' through the sleeve portion Zlb m2 stoma surrounding relation, the stoma being prone position as when resting or sleeping and need not generally be used when the wearer is in upright position since any liquid would then be collected in the bottom portion of the bag It]. The lower portion of the bag [0 is sealed in the same manner as that disclosed in my co-pending application, Serial No. 172,520, filed July 7, 1950, and entitled Stoma Receiver, and consists in axresilient cylindrical member 23 about which the lower portion of bag II] is rolled and'surrounded by a resilient clip member 24.
It will be seen that I have provided an extremely simple, lightweight and-highly efficient bag structure particularly adapted for use with.
a retaining ring 14 which serves as the principle means-for holding-and supporting the bag in predetermined position on the wearer'through the use of the belts l1 and 18. Obviously, for daytimeuse, the insert'or collar member 2! is used without the highly resilient sleeve 22 or the double adhesive disc l9 and the sole means for supporting the entire applianceand retaining the same .in predetermined. position consists in said annular mounting and retaining ring l4 and the belt structure. Even without the sleeve 22 the sleeve portion 2Ib forms a smooth engagement surface with the outer peripheral surface of the stoma and prevents irritation thereof when contacted thereby. The double adhesive ring [9 serves to provide a positive seal-between the inner surfaceofflap I l a and' the body of the wearer surroundingthe stomaand prevents any danger of-leakage therearound. However, consistent useof adhesive on the skin surfacemight produce irritation thereofand therefore an-absorbent. pad .25, as illustrated in Fig. 3, is probably advisable during daytime use-0f the device.
The highly resilient and-pliable sleeve member 22 may beused whenthewearer is inprone position andis primarily intended for such use although said. sleeve 22 could advantageously be used continuouslywithout discomfort and would materially aidto-the comfort of the'wearer by producing an additional cushion around the stomadue tothe resiliency of'said sleeve. The peripheral groove formed in said insert member securely holds thesame in protective position within the. aperture through the attachment" flap and inner. baglayer and the fiange zla along with the. smoothlyv contoured inner surface of the.sleeve..-.portion 21b provides-a smooth nonirritating stoma surrounding member.
It will, of course, be understood that various changes maybe made -in the form, details, arrangement and proportions ofthe parts without departing fromthe scope-of my invention which, generally stated, consists in the matter 2, shown and described herein and set forth in the appended claims.
What I'claim'v is:
1. A stoma receiver comprising a bag having inner and outer layers made from thin highlypliable' water-proof sheet material and having closure means at the top and bottom thereof, an attachment flap sealingly connected at an intermediate portion of the inner layer of said bag on the surface thereof adapted to be disposed nearest to the body of the wearer, said bag and said flap having a receiving aperture formed through the interconnected portions thereof, an aperture-d attachment member receiving in close fitting relation the interconnected portion between the inner bag layer and the outer surface of the nap through said aperture and means mounted on said attachment member for attaching said attachment member to the body of a wearer.
2. The structure set forth in Claim 1 and said apertured attachment member constituting an annular ring and said interconnected portion between the flap and the inner bag layer having a generally circular outer periphery received in close fitting relation within the aperture of said ring.
3. The structure set forth in Claim 1 and an apertured double adhesive member having an adhesive surface on both sides thereof, one side being adhered to the inner surface of said flap surrounding the aperture therethrough with the aperture thereof aligned with the aperture of said flap and the other side being adapted to be securely adhered to the engaged portion of the wearers skin surrounding the stoma to form a positively sealed interconnection between said flap and. the body of the wearer.
4. A stoma receiver comprising a bag having an inner and an outer layer made from thin highly-pliable water-proof sheet material and having closure means at the top and bottom thereof, an attachment flap sealingly connected at an intermediate portion of the inner layer of said bag on the surface thereof adapted to be disposed closest to the body of the wearer, the sealingly interconnected portion between the bag and the flap having a receiving aperture formed therethrough, an insert member having an outwardly extending stoma protecting sleeve with a smoothly contoured interior surface and having a peripheral groove formed in the outer surface thereof receiving the aperture of the sealed attachment portion of said bag and flap to position said protective sleeve between the peripheral edge of said aperture and the stoma surrounded thereby, the material of said flap and said bag being at least slightly resilient to tightly embrace the grooved portion of said sleeve and securelyhold said sleeve in protective position, a protective flange fixed at the inner end of said protective sleeve for engagement against the body of the wearer in stoma surrounding relation, and means cooperatively associated with said flap for attaching the same to the body of the wearer to hold the bag in substantially predetermined relation to the stoma.
5. A stoma receiver comprising a bag having an inner and an outer layer made from thin highly-pliable sheet material and having closure means at the top and bottom thereof, an attachment flap sealingly connected at an intermediate portion of said bag on the surface thereof adapted to be disposed closest to the body of the wearer, the sealingly interconnected portion between the bag and the flap having a receiving aperture formed therethrough, an apertured attachment member receiving in close fitting relation the interconnected portion between the fiap and bag and said member lying between said flap and the opposed portion of said bag, an insert member having an inner flange element, the outside diameter of which is larger than the aperture in said attachment member and having an outwardly extending sleeve portion with a groove formed in an intermediate portion thereof, the receiving aperture formed through the interconnected portion of the bag and flap receiving the grooved exterior portion of said sleeve to tightly embrace the same and interconnect said insert member with said attachment member, and means on said attachment member permitting the same to be securely anchored to the body of a wearer.
6. The structure set forth in claim 5 and an elongated highly-pliable sleeve member connected at its inner end to said inner flange element and extending outwardly through said insert sleeve portion to permit the stoma of the wearer to be surrounded in sealingly embraced relation only when external pressure is applied thereto as by a surrounding liquid medium within the bag.
References Cited in the file of this patent UNITED STATES PATENTS Number Name Date 2,205,270 Perry June 18, 1940 2,294,537 Carhart Sept. 1, 1942 2, l41,508 Porcell May 11, 1948 2,520,831 Chincholl Aug. 29, 1950 2,540,777 Deahl Feb. 6, 1951 2,548,149 Fowler Apr. 10, 1951 2,557,998 Phillips June 26, 1951